BROAD RIVER PHYSICIANS GROUP, LLC
NPI 1235659103
Emergency Medicine in Columbia, SC

Active since June 22, 2017
120 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203(803) 865-4500 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2020, Jan 20, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Broad River Physicians Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROAD RIVER PHYSICIANS GROUP, LLC (NPI 1235659103) is a healthcare organization registered as an emergency medicine in Columbia, South Carolina and active in the NPI registry since June 2017. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235659103
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBROAD RIVER PHYSICIANS GROUP, LLC
Location Address120 GATEWAY CORPORATE BLVDColumbia, SC 29203-9611
Mailing AddressPo Box 21801Belfast, ME 04915-4115 · (770) 874-5400
Organization SubpartNo
Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400
Enumeration DateJune 22, 2017
Last NPPES UpdateFebruary 5, 20203 updates tracked since enumeration
NPI 1235659103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

120 GATEWAY CORPORATE BLVD, Columbia, SC 29203

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Internal Medicine (Cardiovascular Disease)
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Anesthesiology
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Physician Assistant
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Physician Assistant
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Skilled Nursing Facility
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
Emergency Medicine
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203
General Acute Care Hospital
120 GATEWAY CORPORATE BLVD
COLUMBIA, SC 29203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broad River Physicians Group, LLC's NPI number?

The NPI number for Broad River Physicians Group, LLC is 1235659103. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Broad River Physicians Group, LLC located?

Broad River Physicians Group, LLC is located at 120 Gateway Corporate Blvd, Columbia, SC 29203. The listed phone number is (803) 865-4500.

What is Broad River Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Broad River Physicians Group, LLC was last updated on February 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.